DEPARTMENT OF INSURANCE

Affiliations

Name	Cross, Patrick Justin	DOIID	913477	NAIC NPN	17877427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/24/2016	6/30/2027
Active	Non Resident	Agent	Health	4/24/2016	6/30/2027
Active	Non Resident	Agent	Casualty	4/24/2016	6/30/2027
Active	Non Resident	Agent	Property	4/24/2016	6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	04/18/2025	04/18/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/12/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/12/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/12/2016	7/6/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/16/2016	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/2016	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/14/2017	2/14/2018
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/24/2024
Active	Bristol West Insurance Company	301655	Agent - Property	9/24/2024
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/12/2016	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/17/2017	2/14/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/21/2017	7/6/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/17/2017	2/14/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/17/2017	2/14/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/17/2017	2/14/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/17/2017	2/14/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/17/2017	2/14/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/17/2017	2/14/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/17/2017	2/14/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/17/2017	2/14/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/14/2017	2/14/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Katch Ins Solutions LLC	921090	Agent - Life	7/13/2016
Active	Katch Ins Solutions LLC	921090	Agent - Casualty	7/13/2016
Active	Katch Ins Solutions LLC	921090	Agent - Health	7/13/2016
Active	Katch Ins Solutions LLC	921090	Agent - Property	7/13/2016